The NHS at 75: To a Tehran-born psychologist, health care is the greatest UK crown jewel

In this extract from a new book, Dr Masud Hoghughi tells of his dedication to the health service

Nurses representing Great Ormond Street Hospital, home to the Zayed Centre for Research into Rare Disease in Children, take part in a homage to the NHS at the London 2012 Olympics opening ceremony. GettyShow less

I think the greatest jewel in the crown of Britain is the NHS, bar none. It is just about the most complex, enormous, personal organisation dealing with people as people.

You know their race doesn’t matter. We all look the same when we’re laid on the table.

I was born in an environment where there wasn’t an NHS. I came to one and I easily and gently slid into it. I became aware of the layer upon layer upon layer of complexity and benevolence.

Sheer goodwill. People staying long after the hours that they should have gone home, in order to look after the patient.

It’s done as a gift. It is a gift that we give the rest of our fellow human beings. Forget about the salaries. You can get the salary anywhere else. But it is all the things that aren’t part of the salary that you give to patients on a daily basis.

The NHS has all the complexity that a human being has. All the complexity that a society has. But then multiple other layers added to that. There’s nothing better for us.

Dr Masud Hoghughi. Photo: Welbeck Publishing

There is a commitment that transcends the limits of the service which are always there. When I visit my sister in a stroke unit, I talk to other stroke patients in their late seventies, eighties, nineties.

I say, "Do you know where you are?"

They say, "I’m in hospital."

I say, "Are you paying for it?"

They have paid for it during their lifetime. I say to them, "Isn’t it magnificent that you don’t have to worry about how much all this is going to cost you because the rest of us pay for you to be here?"

They become tearful. I become tearful, because the NHS is an act of benevolence.

I think the health service commands a love, commands a sense of possessiveness, which transcends people’s political beliefs.

Every generation of workers in the NHS has a loyalty. A sense of a deep knowledge of the good that it does, and the hardness that it has to go through in order to deliver the goodness that it delivers.

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  The first babies born on July 5, 1948, the day the NHS was launched in the UK. Getty Images

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  People take part in a doorstep survey about the need for a National Health Service in 1944. Getty Images

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  The sorting of ballot papers in the British Medical Association to ascertain doctors' views on joining the National Health Service scheme, in April 1948. Getty Images

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  Minister for health Aneurin Bevan watches a demonstration of a new stretcher in Preston, on the first day of the new National Health Service. Getty Images

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  Mr Bevan's visit to Park Hospital, Manchester, now named Trafford General Hospital, on July 5, 1948. PA

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  Nurses of Whipps Cross Hospital, in London, singing Christmas carols to one of the patients in bed in 1952. Getty Images

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  NHS patients queuing in the rain outside a mobile X-ray unit parked in a street in New Cross, London in 1954. Getty Images

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  Some of the 8,000 nurses attending a protest meeting at Trafalgar Square, London, in support of their pay claim in 1952. Getty Images

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  A nurse in the operating theatre of St Bartholomew's Hospital, London, in 1968. Getty Images

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  Nurses demonstrating outside the Ministry of Health, London, in 1974. Getty Images

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  Demonstrators protesting in London against proposed NHS funding cuts in 1984. Getty Images

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  A busy Friday night in the A&E section of the Royal London Hospital in 1998. Getty Images

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  Unison members protest in front of the British Parliament to protest against conditions which will turn the NHS into a two-tier system in 2003. Getty Images

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  Work during the construction of Birmingham's Queen Elizabeth Hospital, in 2007. Getty Images

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  Performers dance in a scene in tribute of the NHS during the Opening Ceremony of the London 2012 Olympic Games. Getty Images

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  NHS workers take part in an anti-austerity protest during the first day of the 2015 Conservative Party Autumn Conference in Manchester. Getty Images

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  Doctors treat a baby, receiving light therapy, inside an incubator in the Birmingham Women's Hospital in 2015. Getty Images

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  Nurses in uniforms from each decade of the NHS celebrate the 70th birthday of the NHS in 2018. Getty Images

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  A nurse enters the Covid-19 Red Zone at Glan Clwyd Hospital in Wales in 2020. Getty Images

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  NHS staff applaud at the entrance of the Royal Liverpool Hospital as part of the "Clap For Our Carers" campaign in April 2020. Getty Images

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  A nurse takes a swab at a Covid-19 drive-through testing station for NHS staff in Chessington in 2020. Getty Images

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  A sign of support for the NHS during the coronavirus lockdown in 2020 in Glasgow. Getty Images

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  Domestic caretaker Jim Johnson outside Blackpool Victoria Hospital during the coronavirus pandemic in 2020. Getty Images

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  NHS staff members gather outside the University Hospital of North Tees to show their respects and applaud Captain Sir Tom Moore. Getty Images

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  NHS staff and key workers queue in the Louisa Jordan Hospital before receiving the coronavirus vaccine in 2021 in Glasgow, Scotland. Getty Images

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  NHS staff administer the AstraZeneca Covid-19 vaccine in 2021 in St Helens. Getty Images

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  An ambulance paramedic speaks as NHS workers and supporters gather outside Downing Street during strike action in 2022. Getty Images

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  Demonstrators, holding placards and banners, during a strike by NHS nursing staff outside St. Thomas' Hospital in London, in 2022. Getty Images

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  Ambulance workers on a picket line during strike action at Chorley Ambulance Station in 2023. Bloomberg

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  Prime Minister Rishi Sunak is given a demonstration of CPR while visiting the NHS's Addenbrooke's Hospital in 2023. Getty Images

It has become part of their identity. It is part of our national identity. We would fight for it to kingdom come.

The reason why nobody else has an NHS is because they can’t afford it. It is really an extraordinarily expensive kind of organisation to run. But it is, equally, the envy of the world.

It’s getting better because it’s getting more self-critical. People are getting less anxious about making mistakes and being ridiculed or held up.

I don’t mean that malpractice doesn’t go on. How could it not? Because it has over 700,000 encounters every day between a member of the public and a member of NHS.

Human beings aren’t perfect. Neither patients, nor the people who look after them. They’re not perfect. They make mistakes.

They sometimes commit evil because, you know, we don’t select people on the basis of whether they have evil in them, or not. We hope to God that the goodness of the NHS will convert them.

But we have a lot of payments to make to people who’ve received the wrong kind of care.

My granddaughter is doing brilliantly as the senior nurse in charge in the acute unit of the Sheffield Children’s Hospital, which involves a network of six hospitals in the UK, but also includes Northern Ireland, with helipads, etc, to whom the most extraordinary cases come from all over.

She’s knee-high to a grasshopper. You can see how much I adore her. She’s absolutely fierce about the protective care of children.

She says, "The notion of timetables goes out of the window. If you’ve got a child who needs care, the child needs care. Period. That’s all there is to it."

It’s not because of me. It’s because she’s picked up that baton. As a whole lot of other people have picked up that baton.

This is not just about the health service. It is about life. It’s about protecting life and the welfare of other people. Is there anything more important than that? I don’t think so.

* Born in 1938 in Tehran, Masud Hoghughi was sent as a teenager to finish his education in England and went on to be honorary professor of psychology at the University of Hull and director of Aycliffe Centre for Children, County Durham, a secure residential care home for young people admitted on a welfare basis.

* 'Our Stories: 75 Years of the NHS from the People who Built it, Lived it and Love it’, edited by Stephanie Snow (Welbeck, £16.99), is available in hardback now. Royalties go to NHS Charities Together.

Our Stories. Photo: Welbeck Publishing